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The scottish intercollegiate guidelines network sign guideline no 47 makes recommendations for the targeted prevention of dental caries in the permanent teeth of 6 16 year olds presenting for dental care the focus on this specific group followed widespread concern about the scale of the caries problem in scottish teenagers the uneven distribution of the disease in adolescents and . 3 primary prevention of dental caries 31 risk factors for dental caries 4 32 identifying children at high caries risk 7 33 behaviour modification in children at high caries risk 7 34 tooth protection in children at high caries risk 9 4 secondary and tertiary prevention 41 diagnosis of dental caries 12 42 management of carious lesions 13. This guideline replaces sign guideline 47 on preventing dental caries in children at high caries risk and sign guideline 83 on prevention and management of dental decay in the pre school child while the whole guideline has been newly developed section 3 on predicting caries risk has been drawn from these previous guidelines. Introduction dental caries is a pathologic process depending on several etiologic factors which cause the destruction of the dental tissues and produces local and general complications it is one of the most widespread diseases in the civilized populations with a prevalence of 40 at the age of seven years and 85 in seventeen year old boys . Preventing dental caries in children at high caries risk targeted prevention of dental caries in the permanent teeth of 6 16 year olds presenting for dental care